Detail-Oriented Medical Billing & Coding Specialist

SANDRA RAMSEY

Burgaw, NC ***** 910-***-**** ***********@*****.***

PROFILE

Very detailed focused with any job responsibilities assigned. I have great interest in insurance verification, authorizations and billing for patient services. Clinical experience in a long term care and urgent care setting. My priority is patient care and finding coverage that will cover their services. I respect and adhere to HIPPA policies, maintaining accurate documentation, and interdisciplinary collaboration and planning for optimal patient outcomes. I work well with coworkers and independently. EDUCATION

Medical Coding, Lenior Community College, Kinston, NC High School Diploma, Wallace-Rose Hill High School, Teachey NC SKILLS PROFICIENY

o ICD-10 and CPT coding

o Microsoft Office (Word, Excel)

o Various EMR knowledge (Point Click Care, Athena), Experity, Webcare and others that were specific to the company only) o Experience with Sheets, Mail Merge and PDFs

o NC Fast Program experience

o PA of FI2’s for LTC Admission

o Detail oriented with exceptional organization

o Strong decision-making ability and critical thinking o Personable and approachable with strong networking skills PROFESSIONAL EXPERIENCE

RED OAK SERVICES GROUP. LLC

Carolina Quick Care-Remote July 2025 – November 2025 o Reviewed daily patient entries for 4 clinics

o Ensured that billing information was correct.

o Corrected any errors to ensure prompt reimbursement o Notified clinics of errors...

SURVEILLANCE COORDINATOR November 2024 – April 2025 General Electric Vernova, C&G Partnership – Remote o Records and data management of OSHA surveillance testing across U.S. locations o Regular site updates per each team to ensure safety and performance efficiency o Completes daily, detailed documentation and interdisciplinary collaboration o Meetings thru Teams with sites and management as needed for collaboration or problem solving. SANDRA RAMSEY

910-***-**** Burgaw,NC28425 ***********@*****.***

PROFILE

CLINIC ADMINSTRATION MANAGER March 2022 – November 2024 Office Administration, Urgent Care of Wallace – Wallace, NC o Manager of clinic administrative operations

o Collaborate with occupational health to determine worker’s compensation cases, DOT exam scheduling o Direct liaison for billing department for insurance claims and reimbursements o Daily correspondence with Insurance companies to ensure understanding of any payment issues with claims and coverage. o Daily calls to patients with unpaid balances for the best collection efforts to be able to settle the account. o Managed 13 direct-report employees and managed employee schedule and payroll BUSINESS ADMINISTRATOR/FINANCE COUNSELOR July 1990 –March 2022 Office Administration, Brian Center Health & Rehabilitation – Wallace, NC o Liaison for patients, vendors, and insurances – also assisting directly with Medicaid/Medicare benefits o Completed insurance authorizations and managed accounts, reimbursements, and payer denials o Managed direct billing to patients and ensured accurate accounting per state guidelines o Compiled AR reports for facility meetings as well as regional meetings to discuss plan of action for any outstanding balances o Created and dispersed quarterly banking reports for each patient that had trust accounts with us and handled according to State guidelines.

o Assisted with renewal of yearly State Licensure applications for the Nursing Home. o Served in interim roles, such as social worker, discharge planner, etc. ACHIEVEMENTS

Urgent Care of Wallace

Implementation of new billing program due to discrepancies noted in previous program Brian Center Health & Rehabilitation

Exceeded the company's annual accounts receivable goals for yearly bonus. REFERENCES

Available on request.